Re: Re: Blast Resistance

[Guest guest]

RE changing pts to fit your life.

Yes this often sounds counterintuitive, but I'd still try your best not to look TOO different from the outside -- pt doesn't need to know how you do it differently as long as you are there for them when they need you.

1) I used to think being able to see a pt the same day or next day was absolutely necessary -- well, I started to work an hourly moonlighting on Mondays so I wasn't always in the office on Mondays, tell you what, being able to see pts on Monday afternoon MUCH better than not seeing pts on Mondays. As got busier again, being available on Monday afternoons for apts is much better.

2) Some pts do NOT use computers! This is just the case -- can't fight it and I don't want to loose those folks.

3) I just didn't want to do evenings and weekends, you know it does work out, a few folks won't see me now, but seeing pts 1 evening a week for me personally isn't worth the hastle when I'd have maybe 1-2 use that time.

4) Since I don't do nursing home or hospital work (I'm on staff for the hospital, but most primary docs now use a hospitalist or I use 1 FP that spends 1/2 time in hospital so he's just always there), I've faced up to the fact that I needed to do something hourly to bring in some extra $. I held out and found 2 things I really like -- 1 is 1/2 day monday am occ med gig (also use that time when not busy to call vendors, etc) and 1/2 day work for a college medical clinic.

5) Finally, having some staff isn't awful, esp paradoxically when not fully busy -- let me set up some processes, use a few parttime nurses who worked well together, and now automating more and more as increasing volume (still goal is 50 pts a week) makes this more sense. With this flow I'm not taking home as much as you guys who do labs and X-rays and procedures, but enough to be comfortable, active in my community, home each night and weekends.

Like the thread....... very good..........new perspective after 5 years of solo and I think 3+ years of posting.

Matt in Western PA

Re: "Blast Resistance"

Ben --You do not need to respond to any resistance. They just don't see it because they only understand the model where there is a receptionist answering the phone, a triage nurse to answer questions, a medical asst. to room patients, and Dr. X on-call after hours. I would like them to show you how that is a "low overhead model!"The fact is medical care has separated doctors/providers from their patients -- and you are doing something to improve your life and the health of your patients.I would advise that, if you have a patient base coming with you, and/or are talking up your business to people, prepare a Frequently Asked Questions or some sort of information sheet about how your practice is different. And be prepared that it will not be what everyone wants. My info list told the patient that I use email as the primary form of communication, patients self schedule, and no one is out front to answer the phone so it always goes to voice mail. Just with those 3 facts, I set boundaries that some patients had to get used to and others refused to get used to, and left the clinic. But my 3.5 year old son just came into the kitchen with his shirt tucked in his underwear, and is now sitting on my lap, and I missed out on Saturday mornings every third Saturday... does not seem like a lot, but it was too much missed time for this mom, especially after I was gone all week. a > > > I read somewhere sometime ago that when we are ready to blast off > > and make a change, there will be many blast resistance around us.> >> > Now that I signed a lease for the office, ordered my business card, > > bought a desk and a chair...I am beginning to hear those blast > > resistance.> >> > ...medicine has also been a low margin business.> > ...you may need to do botox to survive.> > ...(from the chief medical director who stepped into the office for > > the first time): we will take care of this medical record problem.> > ...why should I have my own practice?> > ...we live in specifics but think in generality.> > ...why leave? You should take responsibility and make the necessary > > change.> >> > Well, for me, it is too late to be telling me all of these. One > > thing I learned in the past 10 years in this organization is what I > > called the "Crying Wolf Syndrome". Fool me once, shame on you. Fool > > me twice, shame on me!> >> > Yes, I am taking the leap!> >> > Ben C.> >> >> >>

[Guest guest]

Congratulations Doctor, It is nice to make your personal legend a reality you can touch with your finger tips.

Personal legend: It is what you have always wanted to accomplish.Everyone,when we are young ,knows what our personal legend is.

At that point in our lives ,everything is clear and everything is possible. We are not afraid to dream,and to yearn for everything we would like happen to us in our lives. But ,as time passes ,a mysterious force begins to convince us that it will be impossible for us to realize our personal legend.

this force that appears to be negative,but actually shows you how to realize your personal legend. It prepares your spirit and your will ,because there is one great true in this planet : whoever you are ,or whatever it is that you do ,when you really want something ,it is because that desire originated in the soul of the universe. It is your mission here.and when you really want something the all universe conspires in helping you to achieve it.

we also need to know : before a dream is realized ,the soul of the world test everything that was learned along the way. It does this not because it is evil,but so that we can , in addition to realizing our dreams , master the lessons we learned as we move toward that dream. That is the point that most people give up. it is like the darkest hour of the night came before the dawn.

I took the lines above from one of my favorite books; The Alchemist written by o Cohelo, I go back and read it when I have negative energy around me. Sometimes there are a lot of voices telling me that I do not deserve what I dreamed.

I remembered when I did my Med school and my classmates asked me what was next and I told that I wanted to come to America to do my residency. I saw on their faces a smirk and they were laughing at me behind my back.

I also I remember part of a famous Spanish book : Don Quijote de la Mancha : Don Quijote was riding his horse and Sancho his friend told him that the dogs were barking at them. He replied to him : Dogs bark, Sancho so we are advancing and doing something great.

Ok,sorry I made this post so long.

Adolfo

To: Sent: Sun, January 24, 2010 11:15:01 AMSubject: Re: "Blast Resistance"

Thank you all for these encouraging words. These are exactly the words that I need to hear now and remember! This has been a long long project. It started in 2002 when I first read Gordon's article. It was a blessing to see all of you in person, knowing that there are really people out there who talk the talk and walk the walk! Ben C.> > > > > I read somewhere sometime ago that when we are ready to blast off > > > and make a change, there will be many blast resistance around us.> > >> > > Now that I signed a lease for the office, ordered my business card, > > > bought a desk and a chair...I am beginning to hear those blast > > > resistance.> > >> > > ...medicine has also been a low margin business.> > > ...you may need to do botox to survive.> > > ...(from the chief medical director who stepped into the office for > >

> the first time): we will take care of this medical record problem.> > > ...why should I have my own practice?> > > ...we live in specifics but think in generality.> > > ...why leave? You should take responsibility and make the necessary > > > change.> > >> > > Well, for me, it is too late to be telling me all of these. One > > > thing I learned in the past 10 years in this organization is what I > > > called the "Crying Wolf Syndrome". Fool me once, shame on you. Fool > > > me twice, shame on me!> > >> > > Yes, I am taking the leap!> > >> > > Ben C.> > >> > >> > >> >>